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Diabetes in the Workplace

Diabetes in the Workplace. Presented by: Becky Goldsmith, RN, BSN, CDE Program Manager Seton Diabetes and Nutrition Education Center. What You Should Know About Diabetes. 29.1 Million people in the U.S. have diabetes (9.3% of the population!) - Diagnosed: 21 million

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Diabetes in the Workplace

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  1. Diabetes in the Workplace Presented by: Becky Goldsmith, RN, BSN, CDE Program Manager Seton Diabetes and Nutrition Education Center

  2. What You Should Know About Diabetes • 29.1 Million people in the U.S. have diabetes (9.3% of the population!) - Diagnosed: 21 million - Undiagnosed: 8.1 million!!! • 1.4 Million New Diagnoses each year

  3. 79 Million Americans Have Pre-Diabetes By 2025, 91 Million Cases Expected

  4. Diagnosis • Fasting Blood Sugar Above 125 • Random Blood Sugar 200 and Above, with symptoms • Hemoglobin A1C 6.5% or greater • Pre-Diabetes • Fasting Blood Sugar of 100 – 124 • Random Blood Sugar 140-199

  5. Common Symptoms • Excessive Thirst • Excessive Urination • Unexpected Weight Loss • Headaches • Fatigue • Often – No Symptoms at All

  6. Why is Diabetes Such a Costly Disease? Uncontrolled diabetes is associated with: • Heart Attacks, Strokes • Leading Cause of Kidney Failure • Leading Cause of Non-Traumatic Amputations • Leading Cause of Blindness

  7. Total Economic Cost of diagnosed Diabetes in the US • $175 million annually? • $124 billion annually? • $150 billion annually? • $245 billion annually?

  8. $245 Billion in 2012

  9. Breaking Down the Costs $176 billion direct medical costs $69 billion indirect costs - reduced productivity - lost days of work - premature death Source: http://www.diabetes.org/advocacy/news-events/cost-of-diabetes.html

  10. Largest Components of $176 Billion • Hospital Inpatient Care 43% • Prescription Medications 18% • Anti-diabetic agents & supplies 12% • Physician Office Visits 9% • Nursing/Residential Stays 8%

  11. Projected Diabetes Diagnoses and Costs http://www.cdc.gov/nccdphp/publications/factsheets/Prevention/pdf/diabetes.pdf Source: http://www.cdc.gov/nccdphp/publications/factsheets/Prevention/pdf/diabetes.pdf

  12. What Do We Know About Diabetes in the Workplace?

  13. Employers spend on average $4,413 more for employees with diabetes compared to employees who don’t have diabetes Source: National Business Coalition on Health Action Brief, Feb.2012

  14. People with diagnosed diabetes have medical expenditures 2.3 times higher than those without diabetes

  15. Diabetes in the Workplace For a company with 1000 employees: • 120 employees have diabetes • 34 of them are undiagnosed • 370 have pre-diabetes

  16. How Effective Diabetes Management Benefits Employers • A supportive environment builds dedicated employees • Well-managed diabetes results in: lower health costs for employer fewer lost days at work increased employee productivity

  17. Dazed and Confused

  18. Diabetes Education A Tremendous Return on Investment Reduces Hospitalizations and ER visits Every $1 invested in such training can cut health care costs by up to $8.76 Source: http://www.cdc.gov/nccdphp/publications/factsheets/Prevention/pdf/diabetes.pdf

  19. What Seton Diabetes Education Has Done with the City of Austin • Began in 2013 • Delivered our Program to 800+ of their employees • 73 COA worksites and taught 219 classes • Employees are allowed to attend diabetes education during work hours • Program completion rate is 90%

  20. Seton Diabetes Program at City of Austin • Total of Two 4-hour classes (plus an extra class for those on injectable medications) • Quarterly meetings with a pharmacist • Annual Refresher Course • Diabetes Education and Pharmacy visit notes are communicated to employees’ physicians • Employees with Diabetes and Pre-Diabetes may self-refer

  21. Classes are Interactive and Cover: • Monitoring of Blood Sugar (receive a free meter) • Meal Planning and a lot of practice • Exercise Benefits and Recommendations • Short and long-term complication prevention

  22. Class Content (cont.) • Recommended Medical Care • Heart Healthy Nutrition Guidelines • Review of Food and Blood Sugar Records with Feedback • And Much More………….. Taught by Registered Nurses and Registerd Dietitians/CDEs

  23. Results at City of Austin • Medical costs PMPM were 21% lower than those not in the program • Decreased inpatient hospital stay by 11% • Decreased ER visits by 18% • Much higher compliance with recommended screenings/exams

  24. Worksites Where We’ve Taken Our Diabetes Classes • Texas Department of Transportation • State Comptrollers’ Office • University of Texas

  25. How To Bring Seton’s Diabetes Classes to Your Worksite Your role: • Schedule dates/times that work for your group • Provide a classroom that can accommodate 12-15 employees – conference style rooms work best • Send several emails announcing dates/times of classes • Provide an on-site contact person

  26. What’s Involved in Getting Seton’s Diabetes Classes at Your Worksite? Seton’s role: • We handle all registrations and reminder calls • We provide a Registered Nurse and a Registered Dietitian to teach the classes • We provide a free glucometer and all class materials • We send written record to each attendee’s physician regarding their participation and any medical concerns/safety issues

  27. What’s the Cost? • The State’s UHC HealthSelectPlan includes a Wellness Program called OptumHealth • Once scheduled with Seton Diabetes Education, we will facilitate their enrollment in OptumHealth • Once enrolled in Optum Health, diabetes education will be covered at 100%

  28. We Can Deliver Our Classes to Sites Outside of Austin Your site will need one the following: 1.A Video Conferencing Equipped Meeting Room OR 2.A computer Including: - Webcam - Internet Access - External speakers (optional) - Access to a projector (optional) Seton is capable of connecting your site to one of our video based Virtual Meeting Rooms (VMR) which will allow us to connect to you via a web browser.  No accounts will need to be set up in order to connect. 

  29. Other Worksite ProgramsCovered at 100%With A United Healthcare Referral

  30. At The Heart of Health Heart Disease Risk Reduction Program • Eight 1-hour classes • Personalized Risk Assessment • Weekly accountability with food diary and RD feedback • Emphasis on improving risk factors associated with heart disease

  31. Weigh to Health • Weight management program • Eight 1-hour weekly classes • Participants receive a personalized meal plan • Weekly motivational emails • Focus is on the Lifestyle Patterns Approach • Each participant’s individual eating, exercise and coping patterns will be identified • Strategies for addressing patterns • Interactive group support and peer coaching

  32. Interested in Hosting ClassesAt Your Worksite? Call Becky Goldsmith 512-324-3321 Bgoldsmith@seton.org

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